Topics Map > Instructional Resources > Qualtrics

Qualtrics - Adding a Consent Form to Your Survey

This document details how to add a consent block to your survey and have the survey continue only if the user consents.

Related KBs
Qualtrics - Survey Platform Service Overview


Adding a Consent Block

1. Create a new survey.

2. Select "Add Block" at the bottom of the first block of your survey.

Screenshot of Qualtrics Survey Add Block

3. Click and drag the block above the Default Question Block.

4. In the new block:

        1. Select "Add new Question."

        2. Select "Text / Graphic." This is where you will type or copy/paste your consent statement.

Screenshot of Create New Text/Graphic Question

5. After this question:

        1. Select "Add new Question."

        2. Make it multiple choice with options “I consent” and “I do not consent” or similar.

Screenshot of Add New Multiple Choice Question

6. Select the Survey Flow button on the left-hand side of the screen. The page should list “Show Block: Block 1” and “Show Block: Default Question Block” or similar.

Screenshot of Survey Flow Icon

8. Select "Add a New Element Here." 

Screenshot of Survey Flow Screen

9. Select "Branch."

Screenshot of New Element Screen

10. Select "Add a Condition."

Screenshot of Add a Condition on Branch

11. Create the logic following the screenshot below:

        1. Question, Which Question, Choice, Is Selected.

        2. Select "OK."

Screenshot of Branch Logic

12. On the "Default Question Block":

        1. Select "Move."

        2. Drag it into the "Add a New Element Here" underneath the Branch.

Screenshot of Default Question Block Move Button

13. At the bottom, select "Add a New Element Here."

Screenshot of Add New Element

14. Select "End of Survey."

Screenshot of End of Survey Option

15. Select "Apply" in the bottom right-hand corner.

Screenshot of Apply Changes




Keywords:qualtrics, consent, survey, surveys, student, staff, faculty, form   Doc ID:68988
Owner:Scott B.Group:UW Green Bay
Created:2016-11-23 13:10 CSTUpdated:2022-10-24 12:42 CST
Sites:UW Green Bay
Feedback:  12   3